2020 High School Youth Retreat; Jan. 18-20
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Name: *
Address: *
Email address: *
Phone number: *
Parent or Emergency Contact: Name/Number: *
Current Grade: *
Gender: *
Planned Arrival time *
Planned Departure time *
List any food allergies or dietary restrictions:
Cabin friend request: (limit 2 names)
Registrations are due January 12. Cost is $100/person payable upon arrival. You may request a pdf that you may print and mail in if you wish.
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